CLINICAL EVIDENCE
CLINICALLY PROVEN TO IMPROVE SAFETY
In 2016, Rainbow Babies Children’s Hospital recognized a need to decrease central line related infections. They implemented a plan that utilized CareAline wraps in a CLABSI prevention maintenance bundle. A collaborative team including infection control, central line and quality experts formed a taskforce to identify gaps in the infection control process of central line care and maintenance.
COMMON THEMES IDENTIFIED AND HOW CAREALINE CONTRIBUTED TO THE SOLUTION
More than 50% of central line associated bloodstream infection organisms were skin associated organisms
CareAline sleeves and wraps are the only product on the market that include a patented pocket. This provides a much needed two layered barrier between the skin and picc line, central line or g-tube. This not only provides a roadblock for bacteria but protects the skin from irritation and pressure related injuries which can also lead to infection.
Skin rashes were a major problem identified
Rashes are often caused by tape due to common adhesive related sensitivities. CareAline wraps and sleeves significantly reduces tape usage while still allowing for easy access for infusions and site checks.
Central line placement near gastric tubes, ostomy or diaper area increases risk for line contamination
CareAline wraps and sleeves are exponentially useful in scenarios where multiple lines are required or incontinence products are used leaving patients at risk for gross contamination, multiple areas of potential skin breakdown and cross contamination. Again, CareAline provides the barrier necessary to protect the bloodstream from harmful bacteria.
Accidental dislodgements lead to increased infection risk
CareAline wraps and sleeves secure and protect lines from accidental dislodgements by pulling, dragging and catching. When used on pediatric patients, lines are no longer hanging, tempting the child to touch, pull and chew on the line. dislodgements are not only painful but require introduction of a new line, creating new opportunities to introduce bacteria to the bloodstream.
CONCLUSION
A 2016 study done by C.S. Mott Children’s Hospital and the University of Michigan revealed that forty-four percent of CVC replacements were in pediatric patients less than four years of age. A pilot study was initiated with CareAline. In an effort to prevent additional replacement surgeries, the central line wrap/sleeve was introduced to secure the lines, in addition to a sterile dressing.
PROBLEM IDENTIFIED AND HOW CAREALINE CONTRIBUTED TO THE SOLUTION
The utilization of a CVC is the standard of care in pediatric oncology. Patients less than four years old are at heightened risk for breaking their central venous catheter due to their developmental stage. Dislodgements lead to additional hospital stays, increased infection risk, potential delays in treatment, increased cost, even death.
CareAline wraps and sleeves secure and protect lines from accidental dislodgements by pulling, dragging and catching. When used on pediatric patients, lines are no longer hanging, tempting the child to touch, pull and chew on the line.
CONCLUSION
In 2014 the Children’s Hospital of Colorado carried out a proof-of-concept analysis within the Center for Cancer and Blood Disorders (CCBD), based on the Anschutz Medical Campus.
PROBLEM IDENTIFIED AND HOW CAREALINE CONTRIBUTED TO THE SOLUTION
A comparative analysis of CareAline Central Line Wraps and PICC Line Sleeves were carried out in a group of patients aged 4 months to 9 years of age over a period of six months.
CONCLUSION
COLLABORATION IS KEY
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